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Updated: May 15, 2026

Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
[Antihyperglycaemic therapy in critically ill patients]
Martin Clodi1, Michael Resl, Heidemarie Abrahamian
1Abteilung für Innere Medizin, Konventspital Barmherzige Brüder Linz, Linz, Österreich. martin.clodi@meduniwien.ac.at
Abstract:
Hyperglycemia frequently occurs in critically ill patients resulting in major complications like an increased cardiovascular event rate or an increased incidence of infections. Based on the currently available evidence insulin therapy should be initiated in patients with blood glucose levels above 180 mg/dl. Blood glucose values should be maintained between 180 and 140 mg/dl. In surgical patients lower target values ranging from 140 to 110 mg/dl should be applied. After transition to the general ward a complete workup of diabetes mellitus should be performed.
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